Organization
CAROLINA VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY VALENCIC O.D. (OWNER/PRESIDENT)
(330) 805-0137
Entity
Organization
Contact information
Practice address
8451 CHARLOTTE HWY, INDIAN LAND, SC 29707-7587
(803) 396-2020
Mailing address
8451 CHARLOTTE HWY, INDIAN LAND, SC 29707-7587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1705
SC
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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